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HomeMy WebLinkAboutZ-7225FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z7225 ..... Date ..... .. . Sep -t .. 9........ , 19.76. THIS CERTIFIES that the building located at 9/8 -Bayview- Dr . • ......... Street Map No. Gard. Bay., ock No ........... Lot No. .1.1.2..1 , .. harion ..N,Y....... conforms substantially to the datkpilt before Apr 23 , 19-.57 pursuant to which dated ...........Se t... conforms to all of the require. Sept 9 • • • • , 19 . ? 6. , was issued and ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. PrtvatA .oxie..:CarAlly . dw.plllUS.............. . . �.... .k ........ The certificate is issued to ..MarlQm. �•. ©mer r of the aforesaid building. (owner, lessee or !+�enant Suffolk County Department of Health Approval .pro....existing....... ..... ......... UNDERWRITERS CERTIFICATE No. .pror-axist.ixXg...... • , , , . . , , , , , , , • HOUSE NUMBER ..... 7 3 G ..... Street .. r=,ajtv �.e.w . � xl,y e ...... . � P. 1' .©� ...... . I ....................................... t. f .......... . ...... ... .............. Building Inspector code ay HOUSING CODE INSPECTION September 9, 1976 730 Bayview Drive R-1 East Marion, N. Y. Sub. Div.: Gardiners Bay Estates, Lots 112-113 Tax Roll: Marion L. Stuart Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one and one-half story, framed dwelling. I was admitted to building by Mrs. Stuart who accompanied me during this inspection which began at approximately 10:30 A.M. The first floor consists of two bedrooms, full bath, living room with fireplace, kitchen and an enclosed porch. Second floor has a bedroom with a half bathroom and a balcony. Heat is fur- nished to all rooms from an oil -fired, forced warm air furnace located in full cellar of the building's cement block foundation. I found no violations of the Housing Code, Chapter 52, Town of Southold, New York. Inspection was completed at approximately 11:00 A.M. jesctfully S/�rd�it� ward indermann Building Inspector EH:med FORM N0.6 TOWN OF SOUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. S. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property or topographic features. 2. Sworn statement of owner or previous owner as to 3 Date of any housing code or safety inspection of formation required to prepare a certificate. lines, streets, buildings and unusual natural use, occupancy and condition of buildings. buildings or premises, or other pertinent in - C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....SePt>»Mi2 X..QA-J.Q.N....... New Building ................ Addition ................ Old or Pre-existing Building ...... X...... Vacant Land .............. Location Of Property ..,S4uth,side of.Bavview,Drive, Gardiners.Bay Estates; East Marion, NY Owner Or Owners Of Property..........MaX!QA.L,...SxAax.t.......................................................................... Subdivision................................................................Lot No. ..11.... Block No............. House No.. 730 Permit No. Date Of Permit M:xx .,Applicant , xxxxxxxxxxxxxxxxxxxxxxxxxxxx Health Dept. Approval , q.p quired...... ...... ..Labor Dept. Approval .. not required Underwriters Approval .. not required Planning Board Approval ,not required ......................... Request For Temporary Certificate ........................................ Final Certificate ......... X.............................. Fee Submitted $..b...Q(1......................... Construction on above described building a d permit/meets o Ippljcable codes and regulations. Applicank C c ll4� . . ... . ......................................... .. Sworn to before me this ! 6 cf4 Z -7 'Z1- 5 9th,.,,, day of ..September, 1976 (stomp or seol) Notary Public .......r5..uffolk ............. County / � D 0